Leah R. Koenig, Jennifer Ko, and Ushma D. Upadhyay are with Advancing New Standards in Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, Oakland. Ena Suseth Valladares is with California Latinas for Reproductive Justice, Los Angeles. Francine M. Coeytaux and Elisa Wells are with Plan C. Courtney R. Lyles is with the Department of Epidemiology and Biostatistics, University of California, San Francisco.
Am J Public Health. 2024 Feb;114(2):241-250. doi: 10.2105/AJPH.2023.307437. Epub 2024 Jan 18.
Despite the recent expansion of direct-to-patient telehealth abortion care in the United States, patient experiences with the service are not well understood. We described care experiences of 1600 telehealth abortion patients in 2021 to 2022 and used logistic regression to explore differences by race or ethnicity and between synchronous (phone or video) and asynchronous (secure messaging) telehealth abortion care. Most patients trusted the provider (98%), felt telehealth was the right decision (96%), felt cared for (92%), and were very satisfied (89%). Patients most commonly cited privacy (76%), timeliness (74%), and staying at home (71%) as benefits. The most commonly reported drawback was initial uncertainty about whether the service was legitimate (38%). Asian patients were less likely to be very satisfied than White patients (79% vs 90%; = .008). Acceptability was high for both synchronous and asynchronous care. Telehealth abortion care is highly acceptable, and benefits include privacy and expediency. Telehealth abortion can expand abortion access in an increasingly restricted landscape while maintaining patient-centered care. ( 2024;114(2):241-250. https://doi.org/10.2105/AJPH.2023.307437).
尽管美国直接向患者提供远程医疗堕胎护理的服务最近有所扩大，但患者对该服务的体验还不太了解。我们描述了 2021 年至 2022 年期间 1600 名远程医疗堕胎患者的护理体验，并使用逻辑回归分析了种族或族裔差异以及同步（电话或视频）和异步（安全信息）远程医疗堕胎护理之间的差异。大多数患者信任提供者（98%）、认为远程医疗是正确的决定（96%）、感到被照顾（92%）并且非常满意（89%）。患者最常提到的好处是隐私（76%）、及时性（74%）和呆在家里（71%）。最初对服务是否合法的不确定性（38%）是最常报告的缺点。与白人患者相比，亚裔患者不太可能非常满意（79%比 90%；=0.008）。同步和异步护理的接受度都很高。远程医疗堕胎护理的接受度很高，其好处包括隐私和便捷性。在越来越受限的环境中，远程医疗堕胎可以扩大堕胎服务的可及性，同时保持以患者为中心的护理。（2024；114(2):241-250. https://doi.org/10.2105/AJPH.2023.307437）。
